HomeMy WebLinkAbout21147_COARNER, TED_19981222CAMA AND DREDGE AND FILL. 0147A(L
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
State
4
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attachments
Phone Number
Zip
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applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
DEREK S. SMITH
NC 7836496 PH 919-247-4428 1467
107 HAWTHORNE DR 66-1 2/531
PINE KNOLL SHORES, NC 28512 DATE 7, ?"Z 70
,
PAY TO THE I(v c o Li �— 0ORDER OF $: 5; 0.
L L A R S
Wachovia Bank of North Carolina, N.A.
Morehead City, NC 28557
POR 7- -9�4—
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LD LS291: SL, F3 L LL32LL,110 LLG 7
ON RLAND
' 99 22: 55 SANiTPRY RESTPUPPNT 9192475110 TG45_]' 9751 P02
ADJACENT MARI AN PROPERTY OWNER STATEMENT
(FOR A PIEWMOOJUNG PrUNGS/BOAMFTIBOATHOUSE)
"I--, �-' /�? 4
hereby certify that I own property' adjacent toE
(Nanle of Property UVner)
N.C.
He has desorjnd to me, a9 shown below, the development he is proposing at thct
locator, and, I have no objections to his prgval. I understand that a pierlmoorir:;l
plllngffiftlbosthouse must be set back a minimum distance of fifteen fe°t (lS') from my area
of riparian ac cau unless waived by me.
I do tiat wish to w-,dve the setbauc requirement.
I r wish to waive that setha requirement.
i D S 'IDI�i AND/AR. DRAWING OF PRDPOSM DEIMW ENT:
I M be fdled to by indtvldual pmpasing deyelorment)
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Signature - —
W1
Print or Type Name
Telephone Number
Date: